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Health Plan Options

Confused about COBRA? Let's simplify!

Learn about mini and Federal COBRA. Watch video

March

  • 03/08  International Women Day
  • 03/10  Daylight Savings Time begins
  • 03/20  International Day of Happiness
  • 03/31  Easter

End of Q1

Compliance Calendar

Disruption of service with Change Healthcare

Change Healthcare, which is one of the largest healthcare technology companies in the United States, experienced a cybersecurity issue on Wednesday, Feb. 21 that began disrupting a number of its systems and services. Change Healthcare is a vendor to many hospitals, providers, retail pharmacies and health plans across the country, including Geisinger. Read more

Federal and mini COBRA

See what employers are covered, who qualifies and what is the maximum chargeable premium payment for Federal and mini COBRA. Read more

Aetna | Find easy ways to save at the pharmacy

Helping your employees find the right pharmacy options for their needs is an important step in supporting their health care journey. We have many resources that can help them understand their prescription coverage, locate an in-network pharmacy nearby and reduce their out-of-pocket costs on their prescribed medications. Read more

Capital Blue Cross | Pharmacy Benefit Claim Form

Use a separate claim form for each member and prescription. Complete Section 1 and Section 2 on the front of the form and Section 4 if applicable. All information provided on or attached to the claim form must be for the same person/prescription. Read more

Jefferson Health Plans | Lost Medicaid coverage?

Since April 2023, Medicaid recipients must complete an annual renewal to see if they are still qualified for coverage. Some of your clients may no longer qualify but could be eligible to enroll in an Individual and Family Plan from Jefferson Health Plans. Read more

Geisinger Health Plan | Broker Bulletin

See details on the 2023 prescription drug reporting deadline nears for employer groups,Simplifying plan administration, IRS administrative management – Employer group requirements and new sales and broker tools. Read more

Guardian Group Benefits | Important Service Update

Due to a cyber security issue at one of our service providers, Change Healthcare, part of insurer United Health Group’s Optum business, we are experiencing a service disruption along with many other organizations across the health care industry. Read more

Aetna 's Tuesday Tidbits Schedule 2024

We’re excited to invite you to join us on Tuesday mornings throughout the year from 9:00 – 9:15 a.m. for a bite-size discussion with your Aetna Small Group sales executives. Hear how we can work together to benefit you and your clients. Register now

3/11 CE Course: The Impact of Stress on Oral Health

Stress has been classified as the health epidemic of the 21st Century according to the World Health Association. This Course educates attendees about the correlation between chronic stress, anxiety and depression and their oral and overall health. Brokers in attendance can expect to leave this course with the information to educate their clients on the importance of good oral health and match them with the right dental benefits to complete their health care package. Register now

3/19 CE Course | Group Disability: Underwriting & Risk Analysis

Join us for a CE webinar with Earle King from Principal Financial Group on March 19th at 10am EST where we'll review:

  • Common sources of income replacement and their impacts on varying disability plans
  • Plan design basics
  • Impacts of SSDI and Statutory disability plans
  • Basics of evaluating risk
  • Important plan design factors

Register now

3/25 Turnkey Solutions for Employer Groups: Benefits Technology

Join PES & URL for a 4-part series on Turnkey Solutions for all of your Employer Groups. Within our Benefits Technology Part One webinar we will go through: 

  • Planning & Implementation
  • Custom Built Platforms 
  • In-house Data & Tech Team Support

Don't miss out on this opportunity to gain valuable insights and strategies to enhance your benefits technology solutions! Register now

4/11 CE Course: Ethics & Compliance

Join us for an informative Continuing Education (CE) webinar on Ethics & Compliance in the insurance industry, scheduled for April 11th at 10 am. This comprehensive session will delve into the vital aspects of integrity, exploring what it is and why it is crucial in the insurance landscape.
Key Topics Include:

  • Integrity: what it is and why needed
  • Ethics: insurance industry/agency/disclosure
  • Confidentiality/privacy
  • Regulatory requirements: licensing & state regulations
  • Regulation of competition
  • Federal criminal convictions
  • Health & life investigations
  • Unfair practices
  • Marketing & advertising: solicitation, proposals, applications
  • Compensation
  • Fraud

This webinar is designed to provide insurance professionals with a comprehensive understanding of ethical considerations and compliance requirements. Don't miss this opportunity to enhance your knowledge and ensure your practices align with the highest ethical standards. Register now

4/16 Turnkey Solutions for Employer Groups: Benefits Education

JJoin PES & URL for a 4-part series on Turnkey Solutions for all of your Employer Groups. Within our Benefits Education Part Two webinar we will go through: 

  • Face-to-Face Enrollment Benefits Education Center (In-House Call Center) 
  • Platform agnostic 
  • Self Service Enrollment Multilingual Services Core & Voluntary    
  • Licensed Benefit Counselors 
  • HIPAA Certification New Hire Onboarding Customized Communication Campaigns

Join us for an enlightening session on optimizing your benefits education and enrollment processes to empower your employer groups. Register now

Jefferson Health Plans | Compensation Opportunity for 2024

See how you can earn a very healthy $60 bonus on each app with the Broker commission and bonus program. Also, as a reminder the $50 HRA is available for every application/member. Read more

Highmark | 2024 incentive (qualify through 1/1/25)

Introducing the 2024 new to Highmark incentive! This Incentive applies to Small Group (2-50) and Large Group (51+) clients in Pennsylvania. Read more

UPMC Health Plan | Individual & Family Bonus Program (qualify through 1/1/25)

UPMC Health Plan is pleased to announce a producer bonus program for those who enroll new members in UPMC Individual Advantage, UPMC VirtualCare or UPMC First Care plans with an effective date in 2024. Earn up to $100 per member! Read more

UPMC Health Plan | New Business Producer Incentive Program (qualify through 4/1/24)

If you sell any new employer group in the 51-99 or 100+ market segments with a Jan. 1 to April 1, 2024, effective date, you will receive an incentive of $300 per contract. Read more

Pennie | The Path to Pennie Program is back for those seeking coverage for 2024!

Pennie and the Pennsylvania Department of Revenue created a way for anyone without health coverage to be connected with Pennie when they file their taxes. Tax filers do so by filling out tax form ‘REV-1882 ‘Health Insurance Coverage Information Request’ when they complete their Pennsylvania state income tax return. Read more

Pennie | 2024 Assister & broker recertification due 

Pennie-Certified Assisters & Brokers must complete annual training to continue certification into 2024. Please note, customers cannot be restored after decertification. Read more

Pennie | Community Workgroup Newsletter

In lieu of a Pennie Community Workgroup (PCW) webinar for July, we are sending this newsletter with updates and information on Pennie’s current and upcoming initiatives. Read more

Pennie Toolkit: Loss of Medical Assistance

Starting April 1st, all Medical Assistance (MA) and CHIP recipients must complete an annual renewal to keep coverage. Pennie is here to ensure continuous coverage for Pennsylvanians that have lost or are losing MA coverage, but we need your help! Read more.

Family Glitch Fixed, More Savings Now Available at Pennie

Under new federal rules, Pennie can now provide savings to more Pennsylvanians! Read more

Pennie | Broker Workgroup